For dual-boarded family and internal medicine in La Mesa, Robert Lajvardi, MD heads Encompass Family & Internal Medicine Group on Alvarado Road near Lake Murray. The practice's chronic-disease panel covering diabetes, COPD, and hypertension generates cardiology referrals to Azimi Cardiovascular Institute for echocardiographic evaluation and stress testing. Chicago Medical School at Rosalind Franklin University training, followed by residency at Mount Sinai Hospital Medical Center of Chicago, established the dual family medicine and internal medicine certification now carried under NPI 1235187568. Spanish, French, and Persian consultations expand access across La Mesa's multilingual patient base, with geriatric patients requiring in-home support transitioning to services coordinated through Golden Care. Sharp Grossmont Hospital and Alvarado Hospital Medical Center privileges anchor inpatient admissions from the Alvarado Road office. Highest-complexity services include lumbar facet joint injection under fluoroscopic guidance and carotid duplex ultrasound interpretation for cerebrovascular risk stratification.